Family Planning State Plan Amendments & Waivers

All states provide family planning services to Medicaid enrollees, and many states have expanded their Medicaid coverage of family planning to childless adults through a Section 1115 demonstration waiver from the Centers for Medicare & Medicaid Services (CMS). The federal health care reform law, known as the Affordable Care Act (ACA), provides states with the option to extend coverage for family planning services and supplies through a state plan amendment (SPA) rather than a waiver.

Recognizing the cost-effectiveness of helping women avoid unintended pregnancies, more than half the states currently have a Medicaid family planning expansion, either in the form of a waiver or state plan amendment (SPA).

Memo: NFPRHA Guidance on Medicaid Family Planning Waivers - May 2013 (PDF)

Medicaid Family Planning Expansion Programs: Essential Coverage Post-ACA Implementation - March 2013 (PDF)

Update on CMS' Policies on SPAs and Family Planning Waivers - December 2010 (PDF)

Memo summarizing CMS' guidance on family planning SPAs - October 2010 (PDF)

Current Medicaid eligibility: by state (PDF)

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